{% extends "layout.html" %}

{% block title %}Création tarif vga {% endblock %}

{% block content %}

<form method="post" class="form-horizontal" >

	<div class="row">
	<div class="span11">
	<a href="grille-tarif-vga" class="btn btn btn-primary"><i class="icon-plus-sign icon-white"></i> Voir la liste </a>
	  <fieldset>
		<legend align="center">Nouveaux Tarif</legend>
    
    </fieldset>
    </div>
	 <!-- Premi�re colonne -->
	<div class="span5">
    
	  <fieldset>
	
      <div class="control-group">
		<label class="control-label" for="destination">Destination </label>
        <div class="controls">
		<div class="input-prepend">
		   <input name="destination" type="text" value=""/> 
		</div>
	  </div>
	  </div>
      
	  <div class="control-group">
		<label class="control-label" for="tarif_1">Tarif 1 </label>
        <div class="controls">
		<div class="input-prepend">
		   <input name="tarif_1" type="text" value=""/> 
		</div>
	  </div>
	  </div>
      
		<div class="control-group">
		<label class="control-label" for="tarif_2">Tarif 2</label>
        <div class="controls">
		<div class="input-prepend">
		   <input name="tarif_2" type="text" value=""/> 
		</div>
	  </div>
	  </div>
      
	   <div class="control-group">
		<label class="control-label" for="tarif_3">Tarif 3 </label>
		 <div class="controls">
         <div class="input-prepend">
		   <input name="tarif_3" type="text" value=""/> 
		</div>
        </div>
	  </div>
	  
	<div class="control-group">
			<label class="control-label" for="tarif_4">Tarif 4</label>
			<div class="controls">
			  <input name="tarif_4" type="text" value=""/> 
			</div>
		  </div>
          	
	      <div class="control-group">
			<label class="control-label" for="tarif_5">Tarif 5</label>
		<div class="controls">
			 <input name="tarif_5" type="text" value=""/> 
			</div>
		  </div>
      	     <div class="control-group">
			<label class="control-label" for="relation"> Mise en relation</label>
		<div class="controls">
			<input name="relation" type="text" value=""/> 
			</div>
		  </div>
     
	  
	  

	</fieldset>

	</div>
	</div>
	
	
		<div class="form-actions">
		<span>Action après validation</span>
		<br/>
		  <select name="action">
			<option value="grille-tarif-vga">Afficher la liste </option>
			<!--<option value="">Créer une commande pour un client</a></option>-->
			<option value="grille-tarif-vga-creation">Saisir une nouvelle offre</option>
		  </select>
		<br/><br/>
         
		<button type="submit" class="btn btn-primary" name="creation">Création</button>
        <button type="reset" class="btn " name="annuler">Annuler</button>
        
		</div>

	
</form>

{% endblock %}
	
